• Military medicine · Jan 2020

    Traumatic Brain Injuries: Unreported and Untreated in an Army Population.

    • Sandra M Escolas, Margie Luton, Hamid Ferdosi, Bianca D Chavez, and Scot D Engel.
    • Defense and Veterans Brain Injury Center, 1335 East-West Highway, Ste 6-100, Silver Spring, MD 20910.
    • Mil Med. 2020 Jan 7; 185 (Suppl 1): 154-160.

    IntroductionIn 2008, it was reported that 19.5% of service members previously deployed experienced a mild traumatic brain injury (mTBI). Fifty-seven percent of those did not seek medical care. It was suggested that concerns with seeking care involved confidentiality and career issues. Objective: This study addressed mTBI history, medical treatment history, and stigmas associated with mTBI/concussion.Materials And MethodsAn anonymous questionnaire was developed. Data collection occurred throughout March 2018 in conjunction with Brain Injury Awareness Month activities.ResultsAll 5,174 volunteers were Army; 86% male; 87% were between 18 and 34 years old; 89% had <14 years in the military; 35% had a combat deployment; and 10% reported having one or more mTBIs in their military careers. Of the Soldiers who reported a concussion, 52% sought medical care. Of those not seeking care, 64% reported they did not think the injury required care, followed by 18% fearing negative impact on their career. Twenty-eight percent who experienced an mTBI versus 11% who have not reported that there is a stigma associated with an mTBI.ConclusionsSoldiers sometimes failed to report their suspected concussions and did not seek medical care. Educational efforts may increase reporting of and medical screening for potentially concussive events. Future research to determine the ramifications of unreported and untreated mTBIs/concussions is recommended.© Association of Military Surgeons of the United States 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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